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Montana rates for HCPCS 0310U

Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NT-proBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,140.00 / $4,140.00 / $4,140.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.59 / $566.59 / $566.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $561.16 / $566.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.59 / $566.59 / $566.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $468.90 / $566.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $164.12 / $390.75